Individual provider Active NPI

Claudia Marshall Mellott, L.C.P.C., C.A.D.C.

  • Addiction (Substance Use Disorder) Counselor
  • Downers Grove, IL
National Provider Identifier
1982758405
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
17699 Issued in IL
Practice address
5147 Main St
Suite a
Downers Grove, IL 60515-4615
Phone
(630) 663-0793
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17699 IL Primary
Professional Counselor 101YP2500X IL

Addresses

Primary practice location

5147 Main St
Suite a
Downers Grove, IL 60515-4615

Mailing address

5147 Main St
Suite a
Downers Grove, IL 60515-4615
Phone (630) 663-0793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 30, 2025 through Jan 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17699ILMDAddiction (Substance Use Disorder) Counselor
180-004368ILMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1982758405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5147 MAIN ST",
            "address_2": "SUITE A",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154615",
            "telephone_number": "630-663-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 MAIN ST",
            "address_2": "SUITE A",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154615",
            "telephone_number": "630-663-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOTT",
        "first_name": "CLAUDIA",
        "middle_name": "MARSHALL",
        "name_prefix": "Ms.",
        "credential": "L.C.P.C., C.A.D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "17699",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.